Support for this research (#R21 HD053371) came from the National Institute of Child Health and Human Development. The sponsor had no role in the design, data collection, management, analysis, or interpretation of the study, nor in the preparation, review, or approval of the manuscript. We thank the research assistants who collected the data, the schools, and school nurses who graciously took part in this study, and the youth who participated.

ABSTRACT

BACKGROUND

Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and efficacy of a school nurse-delivered intervention in improving diet and activity and reducing body mass index (BMI) among overweight and obese adolescents.

METHODS

Six high schools were randomized to either a 6-session school nurse-delivered counseling intervention utilizing cognitive-behavioral techniques or nurse contact with provision of information. Eighty-four overweight or obese adolescents in grades 9 through 11 completed behavioral and physiological assessments at baseline and 2- and 6-month follow-ups.